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Table 2 Iranian women's childbirth experience questionnaire: item content and reasons for item omission

From: Development of the short form Iranian women childbirth experience questionnaire: a confirmatory factor analysis approach item reduction

Items

Reason for item omission

Staff support

1. The midwife was friendly with me

Retained

2. I had a good interaction with my midwife

Excluded due to overlap with item 1 (MI = 58.03, EPC = 0.40, r = 0.70)

3. The midwife provided the training to control delivery during childbirth and labor

Excluded due to overlap with item 8 (MI = 14.03, EPC = 0.19, r = 0.64)

4. The delivery room staff had a good relationship with me during the delivery process

Excluded due to conceptual overlap with item 5, strong empirical overlap (r = 0.70)

5. The midwife understood my needs and wishes

Retained

6. The midwife treated me politely and respectfully

Excluded due to conceptual overlap with item 5, strong empirical overlap (r = 0.73)

7. The midwife spent enough time with me

Retained

8. The midwife informed me of what would happen during the delivery

Retained

9. The midwife took good care of me

Retained

10. The midwife in the delivery room was calm

Retained

11. The midwife encouraged me to adapt to childbirth and continue the process

Retained

12. The midwife considered my wishes for delivery

Retained

13. The delivery environment was safe and comfortable

Excluded due to overlap with item 14 (MI = 23.32, EPC = 0.27, r = 0.60)

14. The staff warmly welcomed me as I entered the delivery ward

Retained

15. I received the appropriate, timely, and necessary services in the delivery department

Excluded due to overlap with item 14 (MI = 10.17, EPC = 0.19, r = 0.50)

48. I tolerated labor pain when the midwife talked to me while working

Retained

Competence

16. I thought I had the ability and power of natural childbirth

Retained

17. I would like to experience natural childbirth

Retained

18. In the end, the pain of natural childbirth is sweet

Retained

20. I felt happy during labor

Retained

24. I have good memories of childbirth

Retained

26. The delivery was not as painful as I thought

Retained

44. I could comment on the natural childbirth process and related decisions

Retained

47. I tolerated the pain of labor more efficiently by relying on good thoughts

Retained

Baby bonding

19. I planned to get pregnant at the right time

Excluded at Step 2 due to low standardized regression coefficient, 0.28 (less than 0.4)

33. I was very eager to see the baby during labor

Retained

34. I was encouraged to embrace the baby immediately after delivery

Retained

35. Immediately after giving birth, I heard my baby crying

Retained

36. Immediately after giving birth, I was able to see my baby for the first time in a satisfactory way

Retained

37. I kept my baby for the first time as I wanted

Retained

Empowerment

23. I had healthy and safe childbirth

Retained

25. I felt more responsible after giving birth

Retained

27. I felt light and comfortable after giving birth

Retained

28. After giving birth, I realized my inner strength

Retained

29. I felt empowered after childbirth

Retained

30. I felt successful with the delivery

Retained

31. I felt independent and self-sufficient during childbirth

Excluded due to conceptual overlap with item 28, strong empirical overlap (r = 0.66)

32. My self-confidence increased with childbirth

Retained

Family support

38. The support and presence of my parents were helpful during the delivery

Retained

39. The presence of my husband made me feel strong

Excluded due to conceptual overlap with item 40, strong empirical overlap (r = 0.70)

40. My husband's support during the delivery was helpful

Retained

41. My husband encouraged me to have a natural delivery during my pregnancy

Retained

42. My family encouraged me to have a natural delivery during my pregnancy

Excluded due to overlap with Item 41 (MI = 29.79, EPC = 0.30, r = 0.52)

Deleted items before CFA (loading < 0.4)

21. I was very hopeful during the delivery

Excluded due to dropped dimension

22. I was familiar with the delivery environment before childbirth

Excluded due to dropped dimension

43. I believed that after natural childbirth, I would be able to do my baby's work independently

Excluded due to dropped dimension

45. I have gained the necessary knowledge about childbirth using various sources

Excluded due to dropped dimension

46. ​​Knowing the labor pains and techniques of dealing with childbirth, I was ready for labor

Excluded due to dropped dimension

49. The hectic environment reduced my tolerance

Excluded due to dropped dimension

50. I was afraid of my child's hurting and death

Excluded due to dropped dimension

51. I was afraid of labor pains

Excluded due to dropped dimension

52. I was worried and anxious during labor

Excluded due to dropped dimension